| NPI | 1205931516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KLEIN Assistant Office Manager 701-547-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: ND 4406) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-08-04 |